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目的:探究老年消化性溃疡的临床与内镜特点。方法:在2014年6月至2016年6月期间选取我院240例消化性溃疡患者,根据年龄分为中青年组(120例)与老年组(120例),对两组患者的临床特点与内镜表现进行对比分析。结果:老年组患者溃疡直径在2.1-3.0cm、>3.0cm中明显多于中青年组,对比差异显著(P<0.05),具有统计学意义。老年组患者不典型腹痛率明显多于中青年组,对比差异显著(P<0.05)具有统计学意义。老年组患者并发症发生率为32.50%,中青年组患者并发症发生率为12.50%,对比差异显著(P<0.05),具有统计学意义。结论:老年消化性溃疡的临床症状具有不典型的特点,其并发症发生率较高,在临床诊治过程中容易出现漏诊与误诊现象,需要结合患者的病史作出诊断,在必要的时候需要采用胃镜检查来确诊。
Objective: To explore the clinical and endoscopic features of peptic ulcer in the elderly. Methods: From June 2014 to June 2016, 240 patients with peptic ulcer in our hospital were selected and divided into middle-aged group (120 cases) and elderly group (120 cases) according to their age. The clinical characteristics and Endoscopic performance comparative analysis. Results: The diameter of ulcer in the elderly group was significantly higher than that in the middle-aged group in 2.1-3.0cm and> 3.0cm, the difference was significant (P <0.05), with statistical significance. The elderly patients with atypical abdominal pain rate was significantly more than the young group, the difference was significant (P <0.05) with statistical significance. The incidence of complications in the elderly group was 32.50%, the incidence of complications in the middle-aged group was 12.50%, the difference was significant (P <0.05), with statistical significance. Conclusion: The clinical symptoms of peptic ulcer in elderly are characterized by atypical features. The incidence of complications is high. Misdiagnosis and misdiagnosis are easy to occur in the course of clinical diagnosis and treatment. Diagnosis should be made according to the patient’s medical history, and gastroscopy should be used when necessary Check to confirm.